| NPI | 1588181960 |
|---|---|
| Former Name | JENACA RANAE FREEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10002399A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2021-08-05 |