| NPI | 1124073135 |
|---|---|
| Former Name | ELLEN JEAN DUBILIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: KY PA005) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA005) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2016-03-04 |