| NPI | 1841964194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MN 3746) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 146N00000X Emergency Medical Technician, Basic (Licence: CO Q221284) | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2024-05-10 |