| NPI | 1982023859 |
|---|---|
| Former Name | KAREN MICHELLE JESSUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102206897) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.012193) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2022-06-10 |