NPI | 1710209903 |
---|---|
Former Name | JACKLYN MARIE ARPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06585) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2010-02-16 |
Last Update Date | 2020-01-15 |