| NPI | 1699265793 |
|---|---|
| Former Name | JAZMYNE SHIANN SASSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004529) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059902) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-10-22 |