| NPI | 1770958332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 00640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 128947) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |