| NPI | 1598274706 |
|---|---|
| Former Name | JESSICA ANN GMEREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004275) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059355) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-05-19 |