| NPI | 1316331929 |
|---|---|
| Former Name | BROOKE MARIE WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ND 2255A2300X) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2019-04-16 |