| NPI | 1184087744 |
|---|---|
| Former Name | CLOYCE ELIZABETH NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2016-0015) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA175856) |
| 363AS0400X Physician Assistant Surgical (Licence: OR PA175856) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2019-05-13 |