| NPI | 1417375882 |
|---|---|
| Former Name | JESSICA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: AZ 60971) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A159890) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-12-10 |