| NPI | 1720700255 |
|---|---|
| Former Name | GABRIELLE INEZ KLINGAMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO MSPTL.0000010) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016223) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2024-03-04 |