NPI | 1720214398 |
---|---|
Other Name | JENNIFER LYNN MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA1869) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0003960) |
Enumeration Date | 2009-06-09 |
Last Update Date | 2024-05-05 |