NPI | 1235525072 |
---|---|
Former Name | MELISSA NUNTAPREDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 10102335-1205) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2019032297) |
Enumeration Date | 2015-04-08 |
Last Update Date | 2024-03-12 |