NPI | 1770018798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: SC 2229) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AL 1927) |
Enumeration Date | 2017-04-27 |
Last Update Date | 2020-12-26 |