| NPI | 1922478593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OR AT-AT-10197732) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA A160804654) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: HI 251) | |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2025-11-19 |