NPI | 1063701670 |
---|---|
Former Name | JESSICA MICHELLE SEDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084H0002X (Licence: CA A124868) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A124868) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2017-05-01 |