| NPI | 1902842883 |
|---|---|
| Former Name | GERIDHARMA OR DHARMA ROSE DEFRESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-53457) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IN 02001899) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MT MED-PHYS-LIC-53457) | |
| 207Q00000X Family Medicine (Licence: IN 02001899) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2024-02-10 |