NPI | 1699017343 |
---|---|
Former Name | JESSICA ELLEN PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IN 01086288A) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX R3730) |
207V00000X Obstetrics & Gynecology (Licence: IN 01086288A) | |
Enumeration Date | 2013-03-20 |
Last Update Date | 2025-03-15 |