| NPI | 1972953776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: PA TEI000606) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-17 |