| NPI | 1235109273 |
|---|---|
| Former Name | ALYSON L JAHNKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10017) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 2454) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-07-08 |