| NPI | 1336258532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 001434) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-05-11 |