| NPI | 1285722942 |
|---|---|
| Former Name | JESSICA ROSE MANKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 548205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 10442) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-10-24 |