| NPI | 1104958560 |
|---|---|
| Former Name | JANICE HALLFORD WILKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03109) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 13264) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2022-04-20 |