| NPI | 1689284358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT006142) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126003198) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2026-04-07 |