NPI | 1053568410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT 343) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA AT 343) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2010-01-27 |