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 |