| NPI | 1821138181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: TN PT2016) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TN PT2016) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TN AT0230) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-04-02 |