| NPI | 1932551181 |
|---|---|
| Former Name | MARIA E ELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-012380) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210207) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2019-04-05 |