| NPI | 1417223165 |
|---|---|
| Former Name | JEANNA LYNN CASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 22882) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 5015) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2013-05-13 |