| NPI | 1427595842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601002811) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0002319) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36003148A) | |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2023-11-16 |