| NPI | 1720158595 |
|---|---|
| Former Name | JESSICA ERIN PLICHTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 221394) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 735117) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-06-17 |