| NPI | 1427345370 |
|---|---|
| Former Name | ELIZABETH WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2016-04-27 |