NPI | 1972296655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 2255R0406X Specialist/Technologist, Rehabilitation, Blind |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-05-30 |
Last Update Date | 2025-08-27 |