| NPI | 1285909887 |
|---|---|
| Former Name | JESSICA D HERR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP4384) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ RN170733) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2013-08-19 |