| NPI | 1255058897 |
|---|---|
| Former Name | JESSICA STEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 232933-30) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-12-06 |