| NPI | 1104865997 |
|---|---|
| Former Name | ELIZABETH A SCHUKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1103763) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2006021634) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-11-21 |