NPI | 1235608258 |
---|---|
Former Name | JESSICA LEIGH ARCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2306037) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2306037) |
Enumeration Date | 2018-11-20 |
Last Update Date | 2024-11-05 |