NPI | 1164641288 |
---|---|
Former Name | ERICA WANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 54312) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.090319) |
208100000X Physical Medicine & Rehabilitation (Licence: IL 036.122968) | |
208100000X Physical Medicine & Rehabilitation (Licence: VA 0101247570) | |
208100000X Physical Medicine & Rehabilitation (Licence: MN 105424) | |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-08-12 |