NPI | 1346670478 |
---|---|
Former Name | JESSICA KATHERINE RITCHEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA003200) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056640) |
Enumeration Date | 2013-11-27 |
Last Update Date | 2017-01-16 |