| NPI | 1992227334 |
|---|---|
| Former Name | MICHELLE GRAEVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2019001292) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 087694) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2021-03-16 |