| NPI | 1598169013 |
|---|---|
| Former Name | JESSICA A KONOPKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 034380) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NH 1052) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2025-10-22 |