| NPI | 1063601292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2012-03-11 |