| NPI | 1376170589 |
|---|---|
| Former Name | CARRIE DOROTHY KLEMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: WI 1641-39) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |