| NPI | 1568804920 |
|---|---|
| Former Name | JENNIFER INGRID GERWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA163353) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2023-09-21 |