NPI | 1639334816 |
---|---|
Former Name | JESSICA MAE PLOTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MI 5101027284) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.010360) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-07-27 |
Last Update Date | 2023-07-07 |