| NPI | 1912437047 |
|---|---|
| Former Name | JENNA FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54819) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2023-11-03 |