| NPI | 1326176454 |
|---|---|
| Former Name | KATRINA DYSTANY FLORES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2025-09-18 |