NPI | 1366702821 |
---|---|
Former Name | ALYCIA D HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ME MD21680) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-05-17 |
Last Update Date | 2024-03-27 |