| NPI | 1003944091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 002257) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |