| NPI | 1982291126 |
|---|---|
| Former Name | EMILY ANN FONKE-FRITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20101) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC P20101) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2024-05-09 |