| NPI | 1144492885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 115653) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MO 115653) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |