| NPI | 1710168398 |
|---|---|
| Former Name | JESSICA LEIGH MOBLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0059843) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2009-00757) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2009-00757) | |
| Enumeration Date | 2007-11-24 |
| Last Update Date | 2018-03-29 |