| NPI | 1053713511 |
|---|---|
| Former Name | ELIZABETH ANNE TOEBBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008168) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1953) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2022-07-21 |