| NPI | 1750690137 |
|---|---|
| Former Name | JESSICA LYNN FAERBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60611218) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 20986) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2021-04-29 |