NPI | 1447634795 |
---|---|
Former Name | JESSICA ANN NEES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 078993) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2086) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2021-01-28 |