| NPI | 1619260007 |
|---|---|
| Former Name | JESSICA LEDBETTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101257742) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT199252) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2023-10-30 |