| NPI | 1518973015 |
|---|---|
| Former Name | JENNIFER ANNE PENFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR 00813) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA00813) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-01-03 |