| NPI | 1417519976 |
|---|---|
| Former Name | JENNI ANNE BLETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PATEMP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2020-08-20 |