NPI | 1740251115 |
---|---|
Former Name | JESSAMYN C DEEMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1185) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MA052259) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2018-03-09 |