NPI | 1093220873 |
---|---|
Former Name | HONOREE DAKAR MCGRAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1300007) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013207) |
Enumeration Date | 2017-12-03 |
Last Update Date | 2018-06-25 |