| NPI | 1457898314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AR 2000030087) |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: AR 2000030087) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-08-30 |