NPI | 1013458306 |
---|---|
Former Name | HEATHER BUERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12213) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2017-03-20 |
Last Update Date | 2024-04-09 |