| NPI | 1861863888 |
|---|---|
| Former Name | JENNIFER A PLATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AL PA. 1067) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 3527) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2021-11-22 |