NPI | 1184165433 |
---|---|
Former Name | RYDER LOUISE MOSES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036157220) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125.070596) |
208100000X Physical Medicine & Rehabilitation (Licence: IL 336116425) | |
Enumeration Date | 2017-03-19 |
Last Update Date | 2023-03-16 |