| NPI | 1932486099 |
|---|---|
| Former Name | JESSICA R MOSKOWITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 1253) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1253) |
| 363A00000X Physician Assistant (Licence: MN 11310) | |
| 363AM0700X Physician Assistant, Medical (Licence: MA PA4261) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2018-03-17 |