NPI | 1841663150 |
---|---|
Former Name | JENNIFER MEURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 003394) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 019052-1) |
Enumeration Date | 2015-11-09 |
Last Update Date | 2015-11-09 |