| NPI | 1073179925 |
|---|---|
| Former Name | JAIME MARIE LATENSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR CP003499T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019026048) |
| 225100000X Physical Therapist (Licence: KS 11-06140) | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2020-09-08 |