| NPI | 1871975086 |
|---|---|
| Former Name | JESSICA LORI NEWMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OR 200440789RN) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |