| NPI | 1417297714 |
|---|---|
| Former Name | YVONNE DENISE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501004524) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2019-07-26 |