| NPI | 1710982954 |
|---|---|
| Former Name | JENNIFER DAYOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 17936) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 1719) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2016-08-29 |