| NPI | 1851821102 |
|---|---|
| Former Name | JESSICA ELIZABETH RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020855) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: NY 020855) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-10-01 |