NPI | 1053529453 |
---|---|
Former Name | ROSE MARICHELLE SANTOS BERNAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 234525) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2017-01-26 |