NPI | 1215276654 |
---|---|
Former Name | BAILEY ELIZABETH OAKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2282) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: TN 2282) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2013-07-25 |