| NPI | 1528440724 |
|---|---|
| Former Name | JORDAN LEIGH BRUCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125066620) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.150367) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NC 217843) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-04-06 |