| NPI | 1184733743 |
|---|---|
| Former Name | JOLENA M. KING, SOSAMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002607) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15326) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-11-17 |