| NPI | 1043305477 |
|---|---|
| Former Name | JAMIE A. QUALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA506) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA506) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-07-18 |