| NPI | 1124278593 |
|---|---|
| Former Name | JENNIFER WEGINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 1082489) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 001931) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2018-05-08 |