NPI | 1386964864 |
---|---|
Former Name | JESSICA J HINCHBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP010817) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60764782) |
Enumeration Date | 2010-06-07 |
Last Update Date | 2020-09-02 |