NPI | 1790049492 |
---|---|
Former Name | JENNIFER L MOLINARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00285000) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-06-27 |
Last Update Date | 2017-08-16 |