| NPI | 1124747852 |
|---|---|
| Former Name | SKYLER BRYN PEMBERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2026-06-24 |