NPI | 1871900605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174H00000X Health Educator (Licence: TN 2516) |
Additional Taxonomies | 174H00000X Health Educator (Licence: AL 2399) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT002260) | |
Enumeration Date | 2014-07-14 |
Last Update Date | 2021-03-31 |