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 |