| NPI | 1063945236 |
|---|---|
| Former Name | CARLYE MARSZALEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 75673) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2017021948) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2021-09-28 |