| NPI | 1437110079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ME AT571) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: WV AT001213) |
| 246Z00000X Specialist/Technologist, Other (Licence: OH AT. 002894) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2021-05-24 |