| NPI | 1790966208 |
|---|---|
| Former Name | JESSICA SALAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NJ 25MA08947600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 045972) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 257797) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2014-08-26 |