| NPI | 1003257338 |
|---|---|
| Former Name | JAMIE ELIZABETH JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005163) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 53016) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2024-11-06 |