| 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 |