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 |