| NPI | 1326000746 |
|---|---|
| Former Name | JENNIFER MARIE YOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: KS 1501328) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085002303) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2014-09-11 |