| NPI | 1922280734 |
|---|---|
| Former Name | BRENDA JOYCE KRALOVETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA02265) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: TX PA02265) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |