| NPI | 1669581542 |
|---|---|
| Former Name | SUSAN BARBARA KRETZMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR 3905) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 8064) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-09-11 |