NPI | 1346589371 |
---|---|
Former Name | JENNIFER LYNN BENDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04087) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-04087) |
Enumeration Date | 2013-02-12 |
Last Update Date | 2023-03-07 |