| NPI | 1770852170 |
|---|---|
| Former Name | JESSICA L KIRKPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003745) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.004192) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2021-05-25 |