NPI | 1972005437 |
---|---|
Former Name | CORA HARGIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC P22799) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5501018349) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2025-07-29 |