NPI | 1326296567 |
---|---|
Former Name | KIRSTEN WINIFRED ANNE HOGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D74209) |
Enumeration Date | 2008-08-29 |
Last Update Date | 2012-08-21 |