| NPI | 1225504939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: 22540000X) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2025-04-17 |