| NPI | 1538331277 |
|---|---|
| Former Name | JESSE HARKNESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA2446) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA 1080541) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-04-19 |