| NPI | 1629264841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CA 08032092) |
| Additional Taxonomies | 226300000X Kinesiotherapist |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2020-10-01 |