NPI | 1689196438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0002227) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT002926) |
246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: 16-0805) | |
Enumeration Date | 2017-07-13 |
Last Update Date | 2021-02-18 |