| NPI | 1720420284 |
|---|---|
| Former Name | JENNIFER LYNN BREARLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1973) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2021-07-02 |