| NPI | 1831481399 |
|---|---|
| Former Name | PAULA DIANE ACKERMAN-KIBBEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS18893) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 63044) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 34.011980) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 04470) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2024-02-24 |