| NPI | 1689603128 |
|---|---|
| Former Name | JENNIFER KAY WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 21724) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA20140017) |
| 363A00000X Physician Assistant (Licence: HI AMD-278) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-12-01 |