| NPI | 1710184940 |
|---|---|
| Former Name | JENNIFER ANN BOWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.004138) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9105529) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2019-11-21 |