| NPI | 1356899645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX 8391) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: 2000039323) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT8391) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2022-10-18 |