| 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 |