| NPI | 1740530047 |
|---|---|
| Former Name | JESSICA BOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA ma055845) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2018-11-20 |