NPI | 1881881175 |
---|---|
Other Name | JESSICA ELAINE MUNOZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05725) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 3703) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2019-02-07 |