| NPI | 1760760516 |
|---|---|
| Former Name | JESSICA R. LUDWIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054995) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054995) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2020-08-11 |