| NPI | 1528606258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ND 852A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A276) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |