| NPI | 1518121193 |
|---|---|
| Former Name | ELIZABETH ALICE MINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: LA 07431R) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1175918) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2013-01-23 |