NPI | 1467985143 |
---|---|
Former Name | ALEXANDRA MONICA OSTROMECKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A20612) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101024481) |
Enumeration Date | 2017-04-10 |
Last Update Date | 2023-03-23 |