NPI | 1154048262 |
---|---|
Former Name | ELIZABETH ANNE TLAPEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-1122) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PT2002-074) |
Enumeration Date | 2022-10-20 |
Last Update Date | 2024-08-07 |