| NPI | 1437301637 |
|---|---|
| Former Name | JENNIFER DELUCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 3678) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-003306) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2023-09-05 |