| NPI | 1205319753 |
|---|---|
| Former Name | JENNIFER LEE DUMONT OR TRUHLAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.005597RX) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |