| 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 |