| NPI | 1245524206 |
|---|---|
| Former Name | ALEXANDRA VENDELBOE NIELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation Brain Injury Medicine (Licence: KS 04-39040) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.123103) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 279431) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2018-06-14 |