| NPI | 1942882972 |
|---|---|
| Former Name | JENNA ROUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9116660) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2023-11-08 |