| NPI | 1700172434 |
|---|---|
| Former Name | JOANNE LAURA JESPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 9747A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P7926) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2022-11-04 |