| NPI | 1467769943 |
|---|---|
| Former Name | JESSICA R FORBES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 005905) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 005905) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2024-04-11 |