| NPI | 1992114409 |
|---|---|
| Former Name | KIRSTEN TYLER WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1348101) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011633) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2021-08-02 |