| NPI | 1144266388 |
|---|---|
| Former Name | JENNIFER CHAISSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06463) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA03463) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-09-19 |