| NPI | 1932161494 |
|---|---|
| Former Name | BRENDA J RODEL BOWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 3661) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1118) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2008-10-31 |