| NPI | 1962605758 |
|---|---|
| Former Name | JENNIFER LYNN HARVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA TMA051623) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016566) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2022-08-22 |