NPI | 1194045096 |
---|---|
Former Name | JESSICA LEIGH BAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 274302-1) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD451380) |
207P00000X Emergency Medicine (Licence: MI 4301104707) | |
Enumeration Date | 2010-06-03 |
Last Update Date | 2021-04-12 |