| NPI | 1154515005 |
|---|---|
| Former Name | JENNIFER ROSE EK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CA PA19563) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2015-05-04 |