| NPI | 1437623246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031816) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 004238) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RTO000427) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2024-01-21 |