| NPI | 1578379277 |
|---|---|
| Former Name | JESSICA DANIELLE MONROE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95032874) |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |