NPI | 1063889475 |
---|---|
Former Name | JAMIE NICOLE HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10068) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-09-01 |
Last Update Date | 2022-07-26 |