| NPI | 1417304221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NV 0506370) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126001746) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0001085) | |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2016-05-21 |