| NPI | 1336523562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 2340-19) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A1718) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |