| NPI | 1609253970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT006081) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT006444) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 1957-39) | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2020-07-22 |