| NPI | 1023391497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WV 2006-2168) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2020-12-03 |