| NPI | 1386147999 |
|---|---|
| Former Name | JEANNIN NEILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58129) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9110956) |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2023-01-26 |