NPI | 1376505883 |
---|---|
Other Name | JENNIFER BAKER FLEMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1952) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR PA00835) |
363AS0400X Physician Assistant, Surgical (Licence: OR PA00835) | |
Enumeration Date | 2006-04-03 |
Last Update Date | 2023-07-27 |