| NPI | 1093298051 |
|---|---|
| Former Name | EMILY JEAN JETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60868442) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60868442) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2023-05-25 |