| NPI | 1861474041 |
|---|---|
| Former Name | MARIE A GENSKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 74007-020) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036113195) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2022-04-06 |