| NPI | 1316289838 |
|---|---|
| Former Name | JESSICA LEIGH TREVINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX S0503) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-9837) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2021-04-06 |