| NPI | 1215190749 |
|---|---|
| Former Name | JESSICA YBARRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 46095) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA a115734) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2016-01-11 |