NPI | 1861490302 |
---|---|
Former Name | WENDY E JOLLIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.001436RX) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 5001436) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2024-07-03 |