| NPI | 1609069566 |
|---|---|
| Former Name | JACQUELINE J WINNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601005156) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2026-03-05 |