NPI | 1003096652 |
---|---|
Former Name | ELIZABETH MARIE MASCHKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL RN 9189210) |
246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
Enumeration Date | 2007-11-13 |
Last Update Date | 2018-10-31 |