NPI | 1023369428 |
---|---|
Other Name | JESSICA YAKUSH WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA09872) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 016014-1) |
Enumeration Date | 2012-09-25 |
Last Update Date | 2016-02-16 |