| NPI | 1881145829 |
|---|---|
| Former Name | JENNY AE CHRISTENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0006802) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55889) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA058568) | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2022-03-24 |