| NPI | 1568625226 |
|---|---|
| Former Name | JESSICA ELENA SHARP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101249412) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021373) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2008015974) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-03-07 |