| NPI | 1871830703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: KS T-03491) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2024-03-01 |