| NPI | 1457622524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 21006) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL 21006) |
| Enumeration Date | 2012-01-22 |
| Last Update Date | 2014-12-16 |