NPI | 1750701694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NH 0579) |
Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
Enumeration Date | 2014-04-18 |
Last Update Date | 2014-04-18 |