| NPI | 1437105442 |
|---|---|
| Former Name | JENNIFER RENEE DURHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.459) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-06-19 |