| NPI | 1780941997 |
|---|---|
| Former Name | JESSICA M KWOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ME MD21791) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: ME MD21791) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2025-09-30 |