NPI | 1619932183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: NH 309) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: VT 104-0000124) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2009-10-26 |