| NPI | 1417134305 |
|---|---|
| Former Name | JESICA ALLYN CHRISTENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.120746) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2015-04-28 |