| NPI | 1528366317 |
|---|---|
| Former Name | JENNIFER M PALERMO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CT 002547) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002547) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2016-04-12 |