| NPI | 1033880513 |
|---|---|
| Other Name | JENNIFER BURGDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 9425) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2025-02-18 |