| NPI | 1568658698 |
|---|---|
| Former Name | JENNIFER A ATKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 19881) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3656) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2014-08-19 |