| NPI | 1023209897 |
|---|---|
| Former Name | LYNETTE REPASO SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: OR MD163117) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125053433) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MO 2011033713) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2013-11-13 |