NPI | 1992860290 |
---|---|
Former Name | KAMLA C MARIWALLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY 118354) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 118354) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2007-07-08 |