| NPI | 1851568380 |
|---|---|
| Former Name | JESSICA M. GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 21012) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 2458) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2024-01-22 |