| NPI | 1942537493 |
|---|---|
| Former Name | JODI LEIGH DAIGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60057919) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 53663) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60057919) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2019-07-03 |