| NPI | 1619117942 |
|---|---|
| Former Name | AMBER ELISE DANNENMUELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2004035080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 07525R) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2014-09-08 |