NPI | 1306038591 |
---|---|
Former Name | JENNIFER LEIGH CASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12028) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA 19294) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2024-05-17 |