NPI | 1356787279 |
---|---|
Former Name | EMILY LANE SINEWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 77093) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-05-19 |
Last Update Date | 2017-07-10 |