| NPI | 1316198278 |
|---|---|
| Former Name | JENNIE LEE WARSOWE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 2679) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2679) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2016-06-28 |