| NPI | 1467995373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306605073) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: PA TE011235) |
| Enumeration Date | 2016-11-24 |
| Last Update Date | 2020-09-21 |