| NPI | 1992308233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 10299) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2025-01-15 |