NPI | 1205231305 |
---|---|
Former Name | ELIZABETH A HINRICHS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 850) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 470) |
Enumeration Date | 2014-10-31 |
Last Update Date | 2014-10-31 |