| NPI | 1639466162 |
|---|---|
| Former Name | JENNA MAE AASEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 51573) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 4085) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2022-12-21 |