| NPI | 1033523220 |
|---|---|
| Former Name | JESSICA MARIA SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 30782) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 390200000X) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-08-21 |