NPI | 1891243531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 4233) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TN 0000002645) |
2255A2300X Specialist/Technologist, Athletic Trainer | |
Enumeration Date | 2016-09-12 |
Last Update Date | 2022-11-15 |