| NPI | 1992734313 |
|---|---|
| Former Name | CAMERON ROQUEMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23427) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-06-28 |