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 |