NPI | 1811393440 |
---|---|
Former Name | JESSYCA TASLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11025059) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 078599-23) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9352307) | |
Enumeration Date | 2014-11-10 |
Last Update Date | 2023-06-10 |