NPI | 1083087605 |
---|---|
Former Name | JENNIFER MARIE DARILEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10427) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-11-04 |
Last Update Date | 2016-05-12 |