| NPI | 1447474218 |
|---|---|
| Former Name | JESSICA LEE WEISBEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 17862) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 24330) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-12-01 |