NPI | 1245338706 |
---|---|
Former Name | ELIZABETH A HOLSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11202) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204733) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-04-02 |