NPI | 1083240162 |
---|---|
Former Name | JENNIFER BELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4861) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-03-20 |
Last Update Date | 2022-10-07 |