| NPI | 1881146496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH UE184819) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH UE184819) |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2016-10-30 |