| NPI | 1356566731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3443) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD M00487) |
| 225700000X Massage Therapist (Licence: MD M00487) | |
| 374U00000X Home Health Aide (Licence: MD A00010416) | |
| 376K00000X Nurse's Aide (Licence: MD A00010416) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2015-06-09 |