| NPI | 1992127229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: WA PT00009162) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: WA PT00009162) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |