| NPI | 1275724544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ 009284) |
| Additional Taxonomies | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: AZ 250405) |
| 225700000X Massage Therapist (Licence: AZ 30479) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2025-06-06 |