| NPI | 1386913739 |
|---|---|
| Former Name | JAMIE LYNN SERENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA002752) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.003370) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2013-04-25 |