| NPI | 1346827490 |
|---|---|
| Former Name | JESSICA EVELYN MCINTIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.077545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036168107) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-10-09 |