NPI | 1477099000 |
---|---|
Former Name | ELIZABETH VANWILGEN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 014141-0) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-01-06 |
Last Update Date | 2022-10-17 |