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 |