NPI | 1285998468 |
---|---|
Former Name | JENNIFER L PACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6512) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-07-02 |
Last Update Date | 2023-12-18 |