| NPI | 1356051429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT8947) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT873) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NM AT873) | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |