NPI | 1407161698 |
---|---|
Former Name | JESSICA HOPE HARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57983) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08367) |
363A00000X Physician Assistant (Licence: CA 21057) | |
Enumeration Date | 2010-08-11 |
Last Update Date | 2021-08-03 |