NPI | 1780190587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: WI 2543-39) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: IL 096005227) |
Enumeration Date | 2017-12-17 |
Last Update Date | 2024-08-21 |