| NPI | 1356757447 |
|---|---|
| Former Name | JANEL LYNN WOLFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058141) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003761) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA058141) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2020-07-06 |