| NPI | 1508129172 |
|---|---|
| Former Name | JENNIFER MOJICA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB09620200) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2020-02-10 |