| NPI | 1033683214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020410) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2255A2300X Specialist/Technologist Athletic Trainer | |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2023-07-26 |