| NPI | 1871931733 |
|---|---|
| Former Name | EMILY JOY JENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6864) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 005693) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-08-10 |