NPI | 1689087371 |
---|---|
Former Name | JESSICA ANN KEPPEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: WI 69299) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 69299-20) |
207RG0100X Internal Medicine, Gastroenterology (Licence: WI 69299) | |
Enumeration Date | 2014-06-10 |
Last Update Date | 2022-10-20 |