| NPI | 1114517521 |
|---|---|
| Former Name | JENNIFER RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114103) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2023-05-15 |