NPI | 1619094117 |
---|---|
Former Name | PAMELA RENA REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2007-03-22 |
Last Update Date | 2023-06-05 |