NPI | 1982996393 |
---|---|
Former Name | JESSICA ELIZABETH ALM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 57506) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2010018313) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2024-10-30 |