| NPI | 1366679094 |
|---|---|
| Former Name | JESSICA JOANNA MUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61105739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A108470) |
| 208000000X Pediatrics (Licence: NY 258653) | |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2024-05-13 |