| NPI | 1124539440 |
|---|---|
| Former Name | JESSICA BAJAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005335RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007361) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2022-12-30 |