| NPI | 1083094346 |
|---|---|
| Former Name | ELAINE A DAUBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057601) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2020-08-30 |