| NPI | 1164051256 |
|---|---|
| Former Name | JESSICA LEIGH MCCULLOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD481735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD481735) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-10-18 |