NPI | 1861744781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate |
Enumeration Date | 2012-10-03 |
Last Update Date | 2021-07-29 |