| NPI | 1093135956 |
|---|---|
| Former Name | JESSICA B WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-12498) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2019-08-09 |