| NPI | 1093532814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA R1493591222) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA R1493591222) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-05-13 |