| NPI | 1720608870 |
|---|---|
| Former Name | JESSICA CATHERINE GAUDIOSI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11608) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1611) |
| Enumeration Date | 2020-04-19 |
| Last Update Date | 2023-09-06 |