| NPI | 1710535448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT003993) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-01-24 |