| NPI | 1003161167 |
|---|---|
| Former Name | ELIZABETH ANNE LUITJOHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9450) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9362) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2019-09-06 |