NPI | 1558014605 |
---|---|
Former Name | AMY POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: TX 2154194) |
Enumeration Date | 2022-01-29 |
Last Update Date | 2022-01-29 |