| NPI | 1528360054 |
|---|---|
| Former Name | JESSICA NICOLE ZIMNY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54287) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1517) |
| 363A00000X Physician Assistant (Licence: MN 10890) | |
| Enumeration Date | 2010-12-05 |
| Last Update Date | 2018-09-04 |