| NPI | 1710482724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ ATR-009237) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 130245) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL 6853) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2025-11-06 |