| NPI | 1346660339 |
|---|---|
| Former Name | ANNA MARIE LARSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 69176) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 59653) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2018-08-21 |