NPI | 1851916613 |
---|---|
Former Name | MAKINNA CAITLIN OESTREICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine (Licence: VA 0116034518) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2024-06-07 |