| NPI | 1619352259 |
|---|---|
| Former Name | JORDAN PARROTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006088RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC393) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2021-04-16 |