NPI | 1184899049 |
---|---|
Former Name | LARISSA RAE RAMAIZEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.125665) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125051399) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2018-02-08 |