| 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 |