| NPI | 1336325620 |
|---|---|
| Former Name | JENNIFER ANNE ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA55545) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 2492) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2019-05-06 |