| NPI | 1629495544 |
|---|---|
| Former Name | JESSICA MEGAN SMOLAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09859400) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2018-01-02 |