| NPI | 1841755071 |
|---|---|
| Former Name | MCKENZIE DAVIS SAMESHIMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1314597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1314597) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-11-21 |