| NPI | 1740486885 |
|---|---|
| Former Name | JACLYN LESLIE HALPERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 247339) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2023-07-18 |