NPI | 1881042042 |
---|---|
Other Name | JENNY ALYCE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 35692) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10057663) |
Enumeration Date | 2016-05-28 |
Last Update Date | 2020-10-26 |