| NPI | 1902172950 |
|---|---|
| Former Name | JESSICA M RUTHERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 818771) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2013-03-15 |