| NPI | 1962838516 |
|---|---|
| Former Name | JANA GAUNTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NM PA-2013-0065) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA-2013-0065) |
| 363AM0700X Physician Assistant, Medical (Licence: NM PA2013-0065) | |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2025-03-05 |