NPI | 1982703492 |
---|---|
Former Name | JENNIFER MARIE KEEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA065536) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003388) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2024-09-23 |