| NPI | 1285809640 |
|---|---|
| Former Name | JESSICA NICOLE HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D69298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD042863) |
| 208000000X Pediatrics (Licence: MO 2003013131) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2003013131) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2019-11-12 |