NPI | 1609566439 |
---|---|
Former Name | JENNA ELIZABETH STEINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008968) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-05-15 |
Last Update Date | 2025-01-20 |