| NPI | 1053804047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT26620) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-10-31 |