| NPI | 1104242916 |
|---|---|
| Former Name | JENNIFER KRISTIN THRASHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00330200) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |