| NPI | 1730623638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 2255A2300X Specialist/Technologist Athletic Trainer | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |