| NPI | 1013308808 |
|---|---|
| Former Name | ELIZABETH ANN MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0005964) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-004867) |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110-004867) | |
| 363AM0700X Physician Assistant, Medical (Licence: DC PA031315) | |
| 363AS0400X Physician Assistant, Surgical (Licence: VA 0110-004867) | |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2022-07-08 |