NPI | 1063441699 |
---|---|
Former Name | REGINA PONDEXTER PONDEXTER HUNTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR E4522) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2023-07-31 |