NPI | 1770890444 |
---|---|
Former Name | JESSICA A TUMLINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PA-2212) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA TA60185752) |
Enumeration Date | 2010-09-01 |
Last Update Date | 2022-01-21 |