| NPI | 1659529451 |
|---|---|
| Former Name | JESSICA A MCCABE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9104731) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104731) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2020-01-27 |