| NPI | 1134437304 |
|---|---|
| Former Name | JENNIFER LYNNE SCARDINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.004094) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 4667) |
| 363A00000X Physician Assistant (Licence: IA 002207) | |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2015-11-17 |