| NPI | 1255926473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CA f5132899) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |