| NPI | 1558597096 |
|---|---|
| Former Name | LARISSA ANN CALKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 250205) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MA 250205) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2013-11-25 |