| NPI | 1013626183 |
|---|---|
| Other Name | JESSICA BURGOS TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-18 |