NPI | 1356876742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT7740) |
Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-24 |
Last Update Date | 2019-08-06 |