| NPI | 1740376862 |
|---|---|
| Former Name | JENNIFER ANN HINELINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 103040) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NC 103040) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-03-15 |