NPI | 1235641432 |
---|---|
Former Name | KRISTINE BRITTANY HINCKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PTA27918) |
Enumeration Date | 2017-10-27 |
Last Update Date | 2017-10-27 |