| NPI | 1477215408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0002903) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2026-06-01 |