NPI | 1336195858 |
---|---|
Former Name | JESSICA BLAKE CRITCHFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00043534) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD151195) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2010-05-26 |