| NPI | 1477877207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
| Additional Taxonomies | 226300000X Kinesiotherapist (Licence: PA RT004139) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2023-09-19 |