| NPI | 1174870117 |
|---|---|
| Former Name | ELIZABETH ANN BRISCOE BOWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA0902) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 015848) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2016-04-12 |