| NPI | 1417439860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP031992T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT021236) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT006321) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA 2000036139) | |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2024-10-09 |