NPI | 1083998959 |
---|---|
Former Name | ELIZABETH GAIL MCDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007856) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0110007856) |
Enumeration Date | 2011-10-10 |
Last Update Date | 2023-03-31 |