| NPI | 1093334815 |
|---|---|
| Former Name | JESSICA FLORES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC MD00001688) |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2024-07-31 |