| NPI | 1437472552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CT 001365) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 002573) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2021-02-17 |