NPI | 1750816344 |
---|---|
Former Name | JESSICA ANN BRANSTETTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-51418) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 8010) |
207P00000X Emergency Medicine (Licence: PA OS020332) | |
207R00000X Internal Medicine (Licence: PA OS020332) | |
Enumeration Date | 2017-04-21 |
Last Update Date | 2025-08-01 |