| NPI | 1558705814 |
|---|---|
| Former Name | JESSICA LYNN SMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q8064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10047215) |
| 207R00000X Internal Medicine (Licence: TX Q8064) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2023-01-27 |