| NPI | 1104476936 |
|---|---|
| Former Name | JESSICA YASMINE DEVERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN224726) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |