NPI | 1588853576 |
---|---|
Former Name | MARIA ALEXANDRA MELO HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME108348) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN10471) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2014-09-05 |