| NPI | 1699121707 |
|---|---|
| Former Name | ABBY LAYNE JESSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 39415) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2022-06-07 |