| NPI | 1023470606 |
|---|---|
| Former Name | JESSALYN GALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.148617) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.068279) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2019-04-15 |