| NPI | 1710313978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA25013) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CO MT0008418) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2017-01-10 |