| NPI | 1720486988 |
|---|---|
| Former Name | JENNIFER DAWN HARTUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05428) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001005428) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2023-05-12 |