| 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 |