| NPI | 1417274689 |
|---|---|
| Former Name | KELLY LORAINE DAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: VA 0101273373) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101273373) |
| 208100000X Physical Medicine & Rehabilitation (Licence: DC 185401) | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WA FE60464961) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2022-04-13 |