NPI | 1033731500 |
---|---|
Former Name | JESSICA N ZEISS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036163468) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.076260) |
Enumeration Date | 2020-05-07 |
Last Update Date | 2025-07-01 |