| NPI | 1750390621 |
|---|---|
| Former Name | BERNADETTE R WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 16424) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 10232) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2024-10-18 |