NPI | 1568026375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: LA 328198) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 2000034532) |
Enumeration Date | 2019-04-26 |
Last Update Date | 2023-07-06 |