| NPI | 1710445861 |
|---|---|
| Former Name | JESSICA ELEN ESTRADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 010271469) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 010271469) |
| 208D00000X General Practice (Licence: VA 1710445861) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2024-05-29 |