NPI | 1235491721 |
---|---|
Former Name | ELIZABETH NORA JOVANOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2015-00301) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2022-07-21 |