| NPI | 1407163983 |
|---|---|
| Former Name | JENNIFER ANN SCHUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000728) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2017-10-12 |