| NPI | 1942720024 |
|---|---|
| Former Name | JESSICA BUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MA 1013237) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-01-13 |