NPI | 1730172354 |
---|---|
Former Name | JENNIFER A STURR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 00322) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 187) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2023-10-09 |