| NPI | 1477947083 |
|---|---|
| Former Name | JESSICA ELIZABETH TOBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55042) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA5264) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2019-04-15 |