| NPI | 1801140074 |
|---|---|
| Former Name | JENIFER D HEMSOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106797) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106797) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2019-05-17 |