| NPI | 1457974073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI DO3713) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NV DO3713) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NV DO3713) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: NV DO3713) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NV DO3713) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-08-13 |