| NPI | 1508481110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NV AT0506770) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: HI AT-352) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NH 1457) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-09-16 |