| NPI | 1457927527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-01469) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 964) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2021030707) | |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2022-04-08 |