NPI | 1982906988 |
---|---|
Former Name | DANKIKA KRISTINE DYKSTRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT 37345) |
Enumeration Date | 2010-11-23 |
Last Update Date | 2012-04-12 |