| NPI | 1235496399 |
|---|---|
| Former Name | JESSICA MARIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.128880) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35128880) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2025-03-27 |