| 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 |