| NPI | 1174707632 |
|---|---|
| Former Name | JOVIANE DESJARDINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00511800) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 012267) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2019-05-23 |