| NPI | 1164498978 |
|---|---|
| Former Name | JAMIE WON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NY 010037) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010037) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2011-09-22 |