| NPI | 1457457129 |
|---|---|
| Former Name | JESSICA L DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10875) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2025-01-18 |