| NPI | 1831540988 |
|---|---|
| Former Name | JESSICA JANE WYKOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT1122743) |
| Additional Taxonomies | 1744R1103X Specialist, Research Data Abstracter/Coder (Licence: TX MT112743) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |