| NPI | 1962757120 |
|---|---|
| Former Name | JESSICA LEE CHEATWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q3291) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX Q3291) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2020-10-08 |