| NPI | 1851964332 |
|---|---|
| Former Name | MICHELLE ELIZABETH CRIBBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TX 1348083) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |