| NPI | 1144514563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 8183) |
| Additional Taxonomies | 376J00000X Homemaker |
| 3747P1801X Technician, Personal Care Attendant | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2025-10-18 |