| NPI | 1235591223 |
|---|---|
| Former Name | JESSICA LYNN HOVANCIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 34.015277) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-07-15 |