| NPI | 1427165745 |
|---|---|
| Former Name | JOWELL MANDE ORTEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1774) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA0004994) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-09-08 |