| NPI | 1215449616 |
|---|---|
| Former Name | JENNIFER RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3312) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2024-12-26 |