| 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 |