NPI | 1699270454 |
---|---|
Former Name | KAYLE ELIZABETH NOBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MI 5101027283) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101027283) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2024-11-05 |