NPI | 1073791190 |
---|---|
Former Name | DIANA KHARBAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 63026) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 2199) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2019-12-25 |