NPI | 1649609611 |
---|---|
Other Name | KAYCEE QUINLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5869) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056474) |
Enumeration Date | 2013-11-11 |
Last Update Date | 2020-10-09 |