NPI | 1205063476 |
---|---|
Former Name | EUGERIE ALTAGRACE DOUGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 0441896) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AR E-9087) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2019-04-05 |