| NPI | 1073177077 |
|---|---|
| Former Name | ELLEN C UPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008955) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0110008955) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-08-10 |