| NPI | 1205095726 |
|---|---|
| Former Name | JESSICA DEGRANDIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101250290) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 51648) |
| 207R00000X Internal Medicine (Licence: VA 0101250290) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2023-08-17 |