NPI | 1215068325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 225200000X Physical Therapy Assistant |
Enumeration Date | 2007-03-08 |
Last Update Date | 2015-03-12 |