| NPI | 1720568207 |
|---|---|
| Former Name | JENNIFER R APPLEQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006667) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-006667) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2026-01-23 |