| NPI | 1447610811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2025-08-27 |