| NPI | 1790041952 |
|---|---|
| Former Name | VICKI LYNN JESSOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 183) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NH ACP183) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2022-08-04 |