| NPI | 1407147689 |
|---|---|
| Former Name | JESSICA LYNN HARTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: TX Q1233) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0039533) |
| 208M00000X Hospitalist (Licence: TX Q1233) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2016-09-21 |