| NPI | 1780607945 |
|---|---|
| Former Name | JENNIFER M BISSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CT 001899) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: PA MA052261) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-07-17 |