NPI | 1174179253 |
---|---|
Former Name | EMILY CLARA JINDRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11714) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-08-14 |
Last Update Date | 2021-06-23 |