| NPI | 1548892367 |
|---|---|
| Former Name | JENNIFER ALEXANDRA MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118682) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9118682) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2024-04-16 |