NPI | 1184258188 |
---|---|
Former Name | JESSICA NICOLE HOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MO 2012003666) |
Enumeration Date | 2020-02-27 |
Last Update Date | 2020-02-27 |