| NPI | 1902571771 |
|---|---|
| Former Name | ELIZABETH COULTER SHAFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050636) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10847) |
| 225100000X Physical Therapist (Licence: CA 304923) | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2024-07-03 |