| NPI | 1255328027 |
|---|---|
| Former Name | JESSICA ELIZABETH BARRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 48288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 226391) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2021-05-11 |