| NPI | 1376530618 |
|---|---|
| Former Name | KRISTIN E LELVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME137481) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 079600) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WI 52430-20) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2026-01-06 |