NPI | 1902166853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OR AT10193631) |
Enumeration Date | 2012-05-25 |
Last Update Date | 2024-10-22 |