NPI | 1790458172 |
---|---|
Former Name | CLAIRE HUMPHRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 4537) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
Enumeration Date | 2021-07-30 |
Last Update Date | 2025-05-17 |