| NPI | 1427428564 |
|---|---|
| Former Name | BRENDA JIMENEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA52921) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2020-07-20 |