NPI | 1508097791 |
---|---|
Former Name | ANTOINETTE MARIA ELISABETH LEMKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: FL PT 24860) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P12209) |
Enumeration Date | 2009-08-05 |
Last Update Date | 2009-08-05 |