NPI | 1487896585 |
---|---|
Former Name | LISA MICHELLE KROOPF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A117523) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA A117523) |
Enumeration Date | 2009-04-03 |
Last Update Date | 2023-06-20 |