| NPI | 1598108649 |
|---|---|
| Former Name | ANGELINE BOWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: MI 4301117065) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301117065) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2025-06-24 |