NPI | 1215149810 |
---|---|
Other Name | CARLY E KREPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IN 01081360A) |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: OH 35.097063) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2023-05-03 |