| NPI | 1427361997 |
|---|---|
| Former Name | JESSICA C SIMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 014111) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VT 055.0031118) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2012-01-25 |