| NPI | 1689130239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6847) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NV AT0506827) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2026-01-21 |