| NPI | 1932655107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT006643) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: LA 335449) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 2255A2300X) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2023-03-24 |