| NPI | 1386774966 |
|---|---|
| Former Name | JENNIFER LYNN DUNHAM-INGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 1159023) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA066032) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-10-18 |