| NPI | 1700444262 |
|---|---|
| Former Name | JESSICA SEDINKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA OP61569838) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-11550) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2024-08-21 |