| NPI | 1497093371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306001312) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001207651) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |