| NPI | 1619252673 |
|---|---|
| Former Name | JESSICA MARIE MUEHLFARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2011031856) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 75553) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2015-10-16 |