NPI | 1750779351 |
---|---|
Former Name | JESSICA MARIE ROOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05446) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15241) |
Enumeration Date | 2015-01-05 |
Last Update Date | 2024-05-13 |