| NPI | 1356808422 |
|---|---|
| Former Name | KATIE JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00412) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MS PA-00412) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2023-09-20 |