| NPI | 1477926053 |
|---|---|
| Former Name | JESSICA L. VENTURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 1477926053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9274400) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2025-01-07 |