NPI | 1154596872 |
---|---|
Former Name | CRISTIN ELIZABETH LOEFFLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2008-04-23 |
Last Update Date | 2012-09-25 |