| NPI | 1326469180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 1996-39) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT004531) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2020-04-10 |