| NPI | 1720747108 |
|---|---|
| Former Name | KRISTIN ANN EMERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CT 000733) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |