| NPI | 1952981805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-06-09 |