| NPI | 1215083993 |
|---|---|
| Other Name | JESSICA WYNNE STATZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-13712) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0043776) |
| 207Q00000X Family Medicine (Licence: CO 43776) | |
| 207Q00000X Family Medicine (Licence: WI 52344-21) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-03-06 |