| NPI | 1932496825 |
|---|---|
| Former Name | JESSICA PAIGE CONSENTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0066943) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35124159) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2023-08-11 |