| NPI | 1780295782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 2278P4000X Respiratory Therapist, Certified, Patient Transport |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2021-10-04 |