| NPI | 1508884461 |
|---|---|
| Former Name | JENNIFER RAE CURTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL FLPA9101586) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9101586) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-12-21 |