NPI | 1518422765 |
---|---|
Former Name | EMILY QUAIL NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-920) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004779) |
Enumeration Date | 2019-02-01 |
Last Update Date | 2023-12-05 |