| NPI | 1356106793 |
|---|---|
| Former Name | JESSICA MACPHAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2312293) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2312293) |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-04-15 |