| NPI | 1942221502 |
|---|---|
| Former Name | JEANNE M LETOVSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 2048) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 817) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2009-02-02 |