NPI | 1073932349 |
---|---|
Former Name | JESSICA LYNN BIGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 70650-20) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.131009) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2019-09-26 |