| NPI | 1043750367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: FL W50131) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 17987) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2019-09-23 |