| NPI | 1437173895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: OK 5100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5100) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT3430) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-04-16 |