| NPI | 1629273867 |
|---|---|
| Former Name | JESSICA D CROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 321514) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 44329) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-05-13 |