NPI | 1891549341 |
---|---|
Former Name | JESSICA RENEE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0999854) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CO RN.1644219) |
Enumeration Date | 2024-04-12 |
Last Update Date | 2024-06-26 |