| NPI | 1639962020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |