| NPI | 1649060872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: WI 3281-39) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: TN 3110) |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-08-08 |