| NPI | 1811150279 |
|---|---|
| Former Name | GINA MARIA BENAQUISTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS015314) |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: PA OS015314) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2015-06-23 |