| NPI | 1164680518 |
|---|---|
| Former Name | JESSICA CARRIE DINGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.120322) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD036380) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2021-04-28 |