| NPI | 1184871113 |
|---|---|
| Former Name | JESSICA M RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA19876) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19876) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2013-10-23 |