| NPI | 1427232651 |
|---|---|
| Former Name | JENNIFER MICHELLE HANLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA19217) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA PA19217) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2022-11-28 |