NPI | 1245674316 |
---|---|
Former Name | JESSICA LEE SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 202101856) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.023142) |
208000000X Pediatrics (Licence: OH 57.023142) | |
Enumeration Date | 2013-04-19 |
Last Update Date | 2022-12-19 |