| 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 |