NPI | 1730673435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: WI 1490-39) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MN 2517) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2018-06-18 |