| NPI | 1780851253 |
|---|---|
| Former Name | JENNIFER KRISTINE STRANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA19644) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA19644) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2017-09-26 |