NPI | 1235367616 |
---|---|
Former Name | JESSICA JEAN HARLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 02004220A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.056282) |
208100000X Physical Medicine & Rehabilitation (Licence: IL 125.056282) | |
Enumeration Date | 2009-06-24 |
Last Update Date | 2014-02-06 |