| NPI | 1417180175 |
|---|---|
| Former Name | JESSICA BAUMCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01336) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS T-02588) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2024-01-22 |