NPI | 1386873040 |
---|---|
Former Name | BESSIE JOY CODERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD178421) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD444742) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2022-05-09 |