| 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 |