| NPI | 1205581881 |
|---|---|
| Former Name | JESSICA LEIGH CARL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP023541) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN623082) |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2022-06-17 |