NPI | 1619316213 |
---|---|
Former Name | JESSICA CAROL PESCATORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB10073500) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT015066) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2025-05-01 |