| NPI | 1083919682 |
|---|---|
| Former Name | ELAINE CATHERIN KISER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60798305) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2020-12-04 |