NPI | 1942339817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: NH 0300) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MA 1726) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2007-07-08 |