| NPI | 1659919702 |
|---|---|
| Former Name | JENIECE KAYLA SALNESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: TX 1173007) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2022-08-19 |