NPI | 1801846944 |
---|---|
Former Name | JILLYN BETH ZENTGRAF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C02364) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0002364) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2015-01-12 |