| NPI | 1003849837 |
|---|---|
| Former Name | JENTRY DANIELLE ANDREWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: TX PA05748) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ MP00154600) |
| 363A00000X Physician Assistant (Licence: TX PA05748) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-06-15 |