| NPI | 1265717201 |
|---|---|
| Former Name | MICHELLE ELAINE GILPIN MICHALOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6645) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60255809) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2023-11-15 |