| NPI | 1669667572 |
|---|---|
| Former Name | AURORA CLAUDINE LUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME131855) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 43701) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MA 233507) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2019-12-12 |