NPI | 1538401724 |
---|---|
Former Name | KRISTEN MARIE BRUSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR DO192463) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO192463) |
Enumeration Date | 2013-03-26 |
Last Update Date | 2023-06-20 |