| NPI | 1821382433 |
|---|---|
| Former Name | JESSICA SOMERVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 321666) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD457268) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2020-02-21 |