NPI | 1972709582 |
---|---|
Former Name | JESSICA LYNN CALMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 2234) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 055045) |
208D00000X General Practice (Licence: CA 20A10506) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-06-21 |
Last Update Date | 2022-01-11 |