NPI | 1750406856 |
---|---|
Former Name | JENNIFER ESTHER ELHOLM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MN 4922) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 4922) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2025-02-12 |