| NPI | 1619361508 |
|---|---|
| Former Name | JESSICA MCCLURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0064095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD188696) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2020-10-02 |