NPI | 1003065897 |
---|---|
Former Name | JENNIFER LEE SCHMOLLINGER AND KISSEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 19927) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA19927) |
Enumeration Date | 2008-09-16 |
Last Update Date | 2021-11-30 |