| NPI | 1518455716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT7218) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 922427) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-12-21 |