NPI | 1215461769 |
---|---|
Former Name | JESSICA NOELLE MAGILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0066711) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-04-11 |
Last Update Date | 2021-07-20 |