| NPI | 1386171684 |
|---|---|
| Former Name | ERIN MARIE KELLEHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: PA OS019802) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OT017694) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT017694) | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-11-08 |