| NPI | 1821466970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2013009169) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2016-02-16 |