| NPI | 1104295047 |
|---|---|
| Former Name | JENNA HERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07698) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9108888) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2023-09-12 |