| NPI | 1962992867 |
|---|---|
| Former Name | JENNIFER R MANSFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021151) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6560) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2021-04-22 |