| NPI | 1558919118 |
|---|---|
| Former Name | JENNIFER BACHAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117458) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 562597) |
| 363A00000X Physician Assistant (Licence: SC 4463) | |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9117458) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-09-06 |