NPI | 1285072660 |
---|---|
Former Name | JESSICA NICOLE HORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-00557) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-06-07 |
Last Update Date | 2021-04-13 |