NPI | 1801426002 |
---|---|
Former Name | ELIZABETH HALBUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-L1C-15757) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT PTP-PT-LIC-15757) |
Enumeration Date | 2020-01-16 |
Last Update Date | 2023-07-31 |