NPI | 1780113605 |
---|---|
Former Name | CAROLINE CAMPELO FERES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC MD93142) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX BP10061202) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2024-09-23 |