| NPI | 1831737931 |
|---|---|
| Other Name | JESSICA PONCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: GA RN223741) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |