NPI | 1891163283 |
---|---|
Former Name | JENNIFER NICOLE MCLAUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9108906) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PAT9108906) |
Enumeration Date | 2015-09-02 |
Last Update Date | 2018-01-03 |