| 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 |