NPI | 1043744931 |
---|---|
Former Name | KATHRYN ALFONSO METTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2021-02218) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 64047) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2021-07-07 |