NPI | 1912227026 |
---|---|
Former Name | KILBY SUTTON YARBROUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CO DR.0063526) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60366305) |
Enumeration Date | 2010-06-11 |
Last Update Date | 2020-03-04 |