| NPI | 1457311714 |
|---|---|
| Former Name | JESSICA M. DAIGNEAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA003188) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA051655) |
| 363AM0700X Physician Assistant, Medical (Licence: OH 003796) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-01-22 |