| NPI | 1346635729 |
|---|---|
| Former Name | JESSICA MAGID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CT 68670) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 286597) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-06-03 |