| NPI | 1891082319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MN A93) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103983) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-05 |