| NPI | 1699257915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MD A001382) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: VA 0126003572) | |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: PA RT007331) | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2021-07-07 |