NPI | 1316268949 |
---|---|
Former Name | JAMIE NICOLE HEINZEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A130618) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A130618) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2018-06-26 |