NPI | 1326539933 |
---|---|
Former Name | JESSICA EVE ROBBINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12981) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2018-05-21 |
Last Update Date | 2021-04-28 |