| NPI | 1609012368 |
|---|---|
| Former Name | JENNIFER HANSHAW MCGOVERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA056018) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MO 2002014284) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MO 2002014284) | |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2019-10-25 |