| NPI | 1700870094 |
|---|---|
| Former Name | DAWN JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-001597) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001597) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2025-04-15 |