| NPI | 1225468382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 08989) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A1680) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |