NPI | 1992765150 |
---|---|
Other Name | JANET IRENE BONNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA07797) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NM PA2008-0023) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2019-08-23 |