| NPI | 1093160640 |
|---|---|
| Former Name | JOLYNN REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 5903) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005890) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-12-27 |