| NPI | 1205174364 |
|---|---|
| Former Name | JESSICA CORINNE KOWALSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09288) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055973) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2015-07-08 |