NPI | 1578071874 |
---|---|
Former Name | JENNIFER ENGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KY TC073) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 86044806) |
Enumeration Date | 2018-01-21 |
Last Update Date | 2025-07-31 |