NPI | 1518910736 |
---|---|
Former Name | DAEL NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0779) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001549) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2023-08-03 |