| NPI | 1952705634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ND 0829) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A1107) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |