| NPI | 1891131512 |
|---|---|
| Former Name | JESSICA VOGELAAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 10021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 10021) |
| 208000000X Pediatrics (Licence: MN 58257) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2017-11-01 |