NPI | 1508062902 |
---|---|
Former Name | KRISTIN M. HERMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-014411) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014411) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2010-05-27 |