NPI | 1881276707 |
---|---|
Former Name | JACQUELYN LEIGH FERRANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102208206) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102208206) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2025-08-25 |