| NPI | 1124219233 |
|---|---|
| Former Name | ELIZABETH C NETHERCOTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA3946) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052922) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2015-07-08 |