NPI | 1255738837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AL 1537) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL 1537) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2019-12-22 |