| 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 |