NPI | 1558898148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NM 529) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: 529) |
Enumeration Date | 2017-05-15 |
Last Update Date | 2017-05-15 |