| NPI | 1013493451 |
|---|---|
| Former Name | ELIZABETH MYSHRAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7813) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant Medical (Licence: MA PA7813) | |
| 363AM0700X Physician Assistant Medical (Licence: VA 0110006146) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2021-05-25 |