| NPI | 1447673447 |
|---|---|
| Former Name | JENNIFER L. CLUNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061464) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.003892) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2020-06-02 |