| NPI | 1780782573 |
|---|---|
| Former Name | JENNIFER CZIPRUSZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1048) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 0007574) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-11-20 |