| NPI | 1184015414 |
|---|---|
| Former Name | JENNIFER J RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55661) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007301) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2022-04-06 |