| NPI | 1740021997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-08-16 |