| NPI | 1437542420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AL Pending) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MD 77300) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD 77300) | |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2022-07-21 |