NPI | 1861935520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: LA 305551) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: A) |
Enumeration Date | 2016-11-29 |
Last Update Date | 2022-10-05 |