| NPI | 1558701243 |
|---|---|
| Former Name | JESSICA ANN ORTEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO3766) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3766) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006487) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2023-05-12 |