NPI | 1679746051 |
---|---|
Other Name | JINAE ELISE PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06573) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TX PA06573) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2016-03-04 |