| NPI | 1295255115 |
|---|---|
| Former Name | JESSICA PIONTEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2017020337) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2021022164) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-11-17 |