| NPI | 1649235490 |
|---|---|
| Former Name | JANET RENE KEAIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N4513) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA DO000054) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WI 39234-021) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2018-02-09 |