NPI | 1336548395 |
---|---|
Former Name | JESSICA JAMROGOWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9109550) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00342800) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2019-03-07 |