| NPI | 1780757153 |
|---|---|
| Former Name | JEANNE DEDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001001214) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-08-31 |