| NPI | 1679736193 |
|---|---|
| Former Name | JOSELYN MARIE JEDICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 005490) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R70138) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2021-07-21 |