NPI | 1093267395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24055) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-4806) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KY 2000015854) | |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KY AT1302) | |
Enumeration Date | 2016-11-03 |
Last Update Date | 2025-05-19 |