| NPI | 1699225482 |
|---|---|
| Former Name | JESSICA A ROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.004805RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH SP561493) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2023-01-23 |