| NPI | 1851501852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 16119) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: WI 161-019) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-12-06 |