NPI | 1245730936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013205) |
Enumeration Date | 2018-02-19 |
Last Update Date | 2018-02-19 |