NPI | 1356770960 |
---|---|
Former Name | JESSICA HEATHER BACHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994671-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010907) |
Enumeration Date | 2013-11-04 |
Last Update Date | 2019-05-17 |