| NPI | 1124612189 |
|---|---|
| Former Name | JENNA NICOLE ZAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062178) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA MA062178) |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2024-07-01 |