| NPI | 1285838664 |
|---|---|
| Former Name | JENNIFER ANN GROSSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35.099157) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2007015905) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2011001456) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-04-15 |