| NPI | 1912472424 |
|---|---|
| Former Name | JACQUELINE N MCWHORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 0006559) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002470A) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2024-05-13 |