| NPI | 1891207825 |
|---|---|
| Former Name | MIRIAM DOLORES JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NM 2268) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |