| NPI | 1871040329 |
|---|---|
| Former Name | JENNA ELIZABETH WERBLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 003710) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 003710) |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 003710) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-05-14 |