| NPI | 1750061321 |
|---|---|
| Former Name | JESSICA BACHELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024187892) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-06-04 |