| NPI | 1114021235 |
|---|---|
| Former Name | DIVINA ROSARIO GASPAR SAN DIEGO |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-32289) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A74067) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OR 150689) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA 60130112) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2013-05-01 |