| NPI | 1134484512 |
|---|---|
| Former Name | JENNIFER ANN SILVIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005192) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601006397) |
| 363AS0400X Physician Assistant, Surgical (Licence: IL 085005192) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2020-03-23 |