| NPI | 1497301311 |
|---|---|
| Former Name | JENNIFER ROSE STANCROFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601011129) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-007883) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2023-10-16 |