| NPI | 1699021147 |
|---|---|
| Former Name | JENNIFER MOLLOY COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 6481) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 006481) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2018-08-29 |