| NPI | 1760869358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: TN 287005) |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2024-07-09 |