| NPI | 1285022095 |
|---|---|
| Former Name | JAIMIE LEANNE MCGLOTHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-004707) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN PA0000002664) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2017-02-27 |