| NPI | 1134380223 |
|---|---|
| Former Name | KATRINA MARIE KANDRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0069137) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116017376) |
| 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101245599) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2011-05-13 |