NPI | 1073137865 |
---|---|
Former Name | JESSICA DANIELLE TURK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3813) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-06-08 |
Last Update Date | 2021-10-07 |