| NPI | 1881009454 |
|---|---|
| Former Name | JENNIFER JANET SHAFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00602600) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MAO57260) |
| 363A00000X Physician Assistant (Licence: PA OA003322) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2021-11-26 |