| NPI | 1891947198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL1842) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: OH 314882) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |