| NPI | 1396270187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: RI PTA00568) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN550553) |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2026-02-20 |