| NPI | 1831656743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: NC LAT-5538) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: FL 6326) |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MD A0001311) | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2023-06-30 |