NPI | 1932473410 |
---|---|
Former Name | JESSICA ROSE SLEEP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA54528) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07709) |
Enumeration Date | 2012-03-01 |
Last Update Date | 2022-07-21 |