NPI | 1700055530 |
---|---|
Former Name | JESSICA QUANTZ RATLIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35091140) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35091140) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2021-07-15 |