NPI | 1528296126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ND 349-08/09) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 2154) | |
Enumeration Date | 2009-06-23 |
Last Update Date | 2014-03-26 |