| NPI | 1871900605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: AL 2399) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: AL 2399) |
| 174H00000X Health Educator (Licence: TN 2516) | |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: GA AT002260) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2024-09-23 |