NPI | 1578992434 |
---|---|
Former Name | JENNIFER LYNN COX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 224185) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9110539) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2024-10-09 |