| NPI | 1548424310 |
|---|---|
| Former Name | JESSICA ANN PEASE-CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME107015) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2015-12-07 |