NPI | 1457758815 |
---|---|
Former Name | JESSICA ROWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK PADA1218) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 2365) |
Enumeration Date | 2014-12-01 |
Last Update Date | 2024-02-02 |