| NPI | 1093290983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 092077) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A2377) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |