NPI | 1366490419 |
---|---|
Other Name | DIANA MARGARET MULDROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101040539) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 81943) |
208100000X Physical Medicine & Rehabilitation (Licence: GA 037729) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2023-11-22 |