| NPI | 1427113828 |
|---|---|
| Former Name | JONELL A OBST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1253) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NE 1253) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2014-02-17 |