| NPI | 1528589355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 002955-1) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00227100) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT006464) | |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2018-03-17 |