| NPI | 1396326450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 146N00000X Emergency Medical Technician, Basic (Licence: GA E034827) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2023-05-25 |