| NPI | 1801847165 |
|---|---|
| Former Name | JAYME LYNNE ROYSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1534) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OK 1534) |
| 363AM0700X Physician Assistant, Medical (Licence: OK 1534) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-10-07 |