| NPI | 1083265607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: PR 16160) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PR 1504) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2022-04-14 |