NPI | 1801449236 |
---|---|
Former Name | HANNA ELIZABETH MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19126) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8867) |
Enumeration Date | 2019-07-24 |
Last Update Date | 2025-09-24 |