NPI | 1245556976 |
---|---|
Former Name | JENNIFER PIAZZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17526) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 109926) |
Enumeration Date | 2010-04-20 |
Last Update Date | 2024-03-22 |