| NPI | 1407135957 |
|---|---|
| Former Name | JESSICA ANN ADAMCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58314) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054984) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2020-07-15 |