| NPI | 1831506740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: TX AT5443) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: TN 1295) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |