NPI | 1235840307 |
---|---|
Former Name | MEGHAN DANIELLE KIRKING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32734) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-12-09 |
Last Update Date | 2023-03-01 |