| NPI | 1881155364 |
|---|---|
| Former Name | JENNIFER ANN VASKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 80000) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-09-30 |