NPI | 1982090049 |
---|---|
Former Name | LESLEY ABRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX V0668) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60940884) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2024-10-30 |