| NPI | 1184616179 |
|---|---|
| Former Name | JENNIFER L PURDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10000730A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.003806) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2022-11-15 |