NPI | 1548509052 |
---|---|
Former Name | JENNA E BERNINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C0004965) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 2950) |
Enumeration Date | 2013-02-04 |
Last Update Date | 2018-03-31 |