| NPI | 1023071388 |
|---|---|
| Former Name | JENNIFER LYNN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.001845) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.001845) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2013-10-28 |