| NPI | 1780306043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT006543) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WV AT001708) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KY AT1937) | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |