NPI | 1285389312 |
---|---|
Former Name | JENSYN E MEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2758) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1116) |
Enumeration Date | 2022-02-17 |
Last Update Date | 2024-02-06 |