| NPI | 1952741167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-3060) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT2914) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.003572) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2017-01-11 |