| NPI | 1346624723 |
|---|---|
| Former Name | JESSICA LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 3962) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 5439) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2024-01-15 |