NPI | 1528738275 |
---|---|
Former Name | JESSICA BARLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008280) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008280) |
Enumeration Date | 2021-09-15 |
Last Update Date | 2024-03-20 |