| NPI | 1154779213 |
|---|---|
| Former Name | JACQUELINE R SHIPMAN-CESPEDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 812) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WV 812) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2024-05-01 |