| NPI | 1932583259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX 0985) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX 721899) |
| 183700000X Pharmacy Technician (Licence: TX 173666) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |