NPI | 1114367802 |
---|---|
Former Name | TAMELIA D LAKRAJ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL TRN34300) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RTP006139) |
Enumeration Date | 2013-06-27 |
Last Update Date | 2022-04-11 |