NPI | 1376007153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2019-01-25 |
Last Update Date | 2021-10-15 |