| NPI | 1669568267 |
|---|---|
| Former Name | JENISA R QUINLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA 166) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9101955) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-08-02 |