| NPI | 1598025595 |
|---|---|
| Former Name | JESSICA LAUREN CZAJKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 286883) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 269781) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2018-06-11 |