| NPI | 1952977753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX 036469627) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10076397) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-04-10 |