| NPI | 1669103156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126004397) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ ATR009532) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ ATR-009532) | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2026-04-29 |