| NPI | 1043372147 |
|---|---|
| Former Name | JOHANNA ELIZABETH CRYTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101234899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101234899) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-09-24 |