| NPI | 1699223511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 326714) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 2444) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2023-08-28 |