| NPI | 1245906619 |
|---|---|
| Former Name | JENNIFER CANNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 027038) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2025-04-09 |