| 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 |