| NPI | 1861798548 |
|---|---|
| Former Name | JESSICA LYNN PRIOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-14063) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R73922) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2018-03-08 |