| NPI | 1841692233 |
|---|---|
| Former Name | JENNIFER LEIGH BLOOMFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 76774571206) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 7677457-1206) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2024-04-29 |