| NPI | 1881945343 |
|---|---|
| Former Name | JESSICA LAUREN OAKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 016056-1) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2017-01-04 |