| NPI | 1154180933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH 119802511) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 006495) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |