| 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 |