| NPI | 1891281044 |
|---|---|
| Former Name | JESSICA COX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA12155) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2022-06-14 |