NPI | 1164840674 |
---|---|
Former Name | NEENU ROSA THEKKUMKATTIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME136073) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.132334) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2018-07-02 |