| NPI | 1548534274 |
|---|---|
| Former Name | JENNIFER LOUISE DOWNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 15475) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MT 15475) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2024-01-16 |