| NPI | 1104540244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV PT002257) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-12-10 |