| NPI | 1487083986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: HI AT-89) |
| Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist (Licence: HI 2000002491) |
| 226300000X Kinesiotherapist (Licence: HI 2000002491) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2017-03-18 |