| NPI | 1134160831 |
|---|---|
| Former Name | JENNIFER L. WEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10004895) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10004895) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-04-04 |