NPI | 1922264183 |
---|---|
Former Name | JENNIFER L. SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: KS 15-01241) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-01241) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2020-07-29 |