NPI | 1457568073 |
---|---|
Former Name | ELAINE MARCEL DUET-LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1058048) |
Additional Taxonomies | 171W00000X Contractor (Licence: TX 1058048) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2016-01-12 |