| NPI | 1255534392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 574) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-04-15 |