| NPI | 1144713934 |
|---|---|
| Former Name | JESSICA ANN KWASIGROH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008136A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28134497A) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-10-20 |