NPI | 1336258532 |
---|---|
Former Name | KATHERINE LYNN ANDERSON |
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 | 2024-05-21 |