| NPI | 1831419712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MN A1258) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 8184A) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |