| NPI | 1700120342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 1096-19) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A851) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |