Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1043676588 |
---|---|
Provider Name | Robin Aguirre |
First Address | Santa Clarita, CA 91350-2947 |
Second Address | Santa Clarita, CA 91350-2947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2016 |
Last Update Date | 09/02/2016 |