| NPI | 1912606245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: UT 13279304-4810) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2024-02-05 |