NPI | 1649252834 |
---|---|
Former Name | JANA L PRITCHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1314) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK PA1314) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2020-12-04 |