| NPI | 1194107201 |
|---|---|
| Former Name | JESSICA ANN OATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-05139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0060326) |
| 207R00000X Internal Medicine (Licence: IA R-10307) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2020-12-16 |