NPI | 1114931870 |
---|---|
Other Name | BONITA S. ALEXANDER PETERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-072596) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2022-03-29 |