NPI | 1912755083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 126800000X Dental Assistant |
172V00000X Community Health Worker | |
Enumeration Date | 2024-05-13 |
Last Update Date | 2024-05-13 |