| NPI | 1881943223 |
|---|---|
| Former Name | JESSICA CHRISTINE OETTING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2012020971) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |