| NPI | 1326465477 |
|---|---|
| Former Name | JACLYN GOROVOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS14789) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD 520595110) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2018-03-17 |