| NPI | 1396248043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: CA 2000023096) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: CA 2000023096) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2023-05-25 |