NPI | 1730509845 |
---|---|
Former Name | SARAH OTTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 65985) |
Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine (Licence: WI 65985-20) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-16 |
Last Update Date | 2021-11-24 |