| NPI | 1346698107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT7909) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX 759866) |
| 174H00000X Health Educator | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2020-05-15 |