| NPI | 1487977336 |
|---|---|
| Former Name | JACQUELINE M CUMMINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 8756715-1206) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA06651) |
| Enumeration Date | 2010-03-07 |
| Last Update Date | 2015-04-15 |