NPI | 1548579170 |
---|---|
Former Name | JESSICA JUNE REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY PA1602) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA1602) |
Enumeration Date | 2010-09-30 |
Last Update Date | 2024-07-25 |