NPI | 1790788404 |
---|---|
Former Name | MARIA ANN TOLOTTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J0315) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 038632) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2009-11-19 |