| NPI | 1962876656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 9559) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CA 9559) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |