| NPI | 1851742027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: KY AT1375) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: KY AT1375) |
| 207PS0010X Emergency Medicine Sports Medicine (Licence: KY AT1375) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: KY AT1375) | |
| 2083S0010X Preventive Medicine Sports Medicine (Licence: KY AT1375) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2020-01-25 |